CEHRS Regulatory Compliance and Quality Assurance 4

Question 1

A healthcare organization implements a new process to reduce medication errors. After the change, errors decrease by 40%. This is an example of which quality improvement outcome?

Accepted Answer

Outcome measure improvement

Answer

Structure measure improvement

Answer

Process measure improvement

Answer

Balancing measure improvement

Question 2

Under the Medicare Access and CHIP Reauthorization Act (MACRA), MIPS stands for:

Accepted Answer

Merit-based Incentive Payment System

Answer

Medical Information and Performance Standards

Answer

Managed Integrated Payment Structure

Answer

Medicare Incentive for Provider Services

Question 3

Which privacy principle requires that only the minimum necessary PHI be used or disclosed to accomplish the intended purpose?

Accepted Answer

Minimum necessary standard

Answer

Data integrity principle

Answer

Need-to-know basis rule

Answer

Proportionality doctrine

Question 4

The Joint Commission's National Patient Safety Goals (NPSGs) require hospitals to use at least how many patient identifiers before providing care?

Accepted Answer

Two

Answer

One

Answer

Three

Answer

Four

Question 5

A Release of Information specialist receives a subpoena for a patient's complete medical record. The appropriate first step is to:

Accepted Answer

Verify the subpoena is accompanied by a valid patient authorization or court order

Answer

Immediately release the records to comply with legal process

Answer

Notify the patient before any action

Answer

Contact the requesting attorney directly for clarification

Question 6

In healthcare quality management, a control chart is primarily used to:

Accepted Answer

Monitor process variation over time to distinguish common from special cause variation

Answer

Compare facility performance to national benchmarks

Answer

Rank departments by error frequency

Answer

Identify which staff members make the most errors

Question 7

Which federal agency is responsible for enforcing HIPAA Privacy and Security Rules?

Accepted Answer

Office for Civil Rights (OCR)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Office of the Inspector General (OIG)

Answer

National Institutes of Health (NIH)